UK Carotid Endarterectomy Audit. Round 3 Public Report – Royal College of Physicians – June 2011

Posted on June 29, 2011. Filed under: Neurology | Tags: , |

UK Carotid Endarterectomy Audit. Round 3 Public Report – Royal College of Physicians – June 2011

“This new report (2011), funded by the Healthcare Quality Improvement Partnership (HQIP), presents the latest finding from Round 3 of the National Carotid Interventions Audit. The audit focussed on the process and outcomes of patients undertaking carotid endarterectomy between 1st October 2009 and 30th September 2010. It covers many of the aspects of the pathway, from the characteristics of the patient, the key delays prior to surgery, the surgery itself and any post operative outcomes.”

“Foreword
The increasing public expectation of early referral and high quality stroke management can only be met by clinicians demonstrating that the care provided is improving in line with evidence based standards. The carotid intervention audit, a joint audit by the Vascular Society of Great Britain & Ireland and the Royal College of Physicians of London, now reports the results of surgical care against national standards for the third time. This report contains both good news and aspirations for improvement. Round three sees the highest level of participation and recorded cases in this national audit since its inception. Along with increasing participation, there are further reductions in the time between symptoms, referral and treatment.

Whilst these improvements are good news for patients and clinicians, there is some way to go before the surgical component of the stroke pathway can be regarded as mature. The NICE standard of 14 days from symptom to treatment is not yet achieved and the National Stroke Strategy target of 48 hours by 2017 looks like a major challenge. The clinical community needs to collectively re-double its efforts and refine the pathway of care. This will require an increased awareness of the importance of the symptoms of impending stroke and a commitment to rapid referral, investigation and treatment. NHS organisations will need to ensure rapid access to clinicians, imaging and surgical teams. Clinical teams will need to recognise TIA as an emergency requiring a rapid response to deliver high quality care in a timely manner.”

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